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Even in today's tough economy, with fewer teens working than in previous years, we still rely on youth in many industries. In 2009, 19 % of 15- to 17-year-olds in Massachusetts were employed at any given point in time.(1) Recognizing the potential value of work in teens lives, we also have programs that place teens in jobs. During summer 2011, over 4,700 Massachusetts teens were working through summer jobs programs.(2) While work can provide teens with important benefits, it can also pose health and safety risks. In fact, nationally, teen workers have about twice the risk of non-fatal on-the-job injuries per hour worked than older workers.(3) This is partly explained by the fact that teens tend to work in industries that are high risk for workers of all ages, such as restaurants and healthcare. Information about where and how teens are injured at work is essential to prevent future injuries and promote safer work opportunities for youth. Since the early 1990's the Teens at Work: Injury Surveillance and Prevention Project at the Massachusetts Department of Public Health has tracked work-related injuries to teens under age 18. Over the years, Teens at Work has collaborated with partners on a variety of initiatives to prevent injuries to working teens. And we have had some success: In this issue we report on declines in teen occupational injury rates over time. However, as the data for 2005-2009 reveal, there is still work to be done. We must continue efforts to ensure jobs in which teens are employed are safe. And, as we engage teens in the workplace - whether employers, schools, jobs programs, or parents with family businesses - we need to provide them with basic health and safety skills that will help protect them now and in the future.